Purpose/Significance To implement comprehensive prevention and control strategies for chronic diseases such as diabetes and hypertension, and topromote the integrated development of medical treatment and public health on residents’ health management.Method/Process On the basis of opening up business linkage and data integration, a regionalized intelligent health management platform for chronic diseases is designed and built, comprehensive health files for patients are established, daily monitoring data are collected, and the system functions such as file establishment, diagnosis and treatment, follow-up visit, diet/exercise management, risk assessment, and intelligent education are realized.Result/Conclusion In the initial use of the platform, it provides integrated health management services within the region for thousands of patients with diabetes and hypertension, realizes full-dimensional control and monitoring of health information for patients with chronic diseases, and gradually builds a closed-loop management mode for the whole process of residents’ health.